Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $1,472.04 / $10,333.82	Facility		$100.34	$1,472.04	$10,333.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,749.00 / $5,749.00 / $6,159.00	Facility		$5,749.00	$5,749.00	$6,159.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $306.43 / $470.07	Facility		$262.23	$306.43	$470.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $150.51 / $260.88	Facility		$100.34	$150.51	$260.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.79 / $212.72 / $1,789.00	Facility		$101.79	$212.72	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $150.51 / $260.88	Facility		$100.34	$150.51	$260.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $263.74 / $393.71	Professional		$216.32	$263.74	$393.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,777.50 / $4,777.50 / $4,777.50	Facility		$4,777.50	$4,777.50	$4,777.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90